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Author Question: A patient is admitted with acute, painful muscle spasms and suffers from intermittent porphyria, an ... (Read 26 times)

joe

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on: Jul 23, 2018
A patient is admitted with acute, painful muscle spasms and suffers from intermittent porphyria, an inherited enzyme deficiency. Which of the following muscle relaxants is contraindicated due to the patient's history of porphyria?
 
  A) Baclofen (Lioresal)
  B) Carisoprodol (Soma)
  C) Diazepam (Valium)
  D) Dantrolene (Dantrium)

Question 2

A patient's sudden increase in IOP has necessitated the oral administration of glycerin (Osmoglyn). When assessing the patient for adverse effects related to this intervention, the nurse should prioritize which of the following?
 
  A) Assessment for signs and symptoms of acidbase imbalances
  B) Assessment for signs and symptoms of fluid volume deficit
  C) Monitoring of serum potassium and sodium levels
  D) Monitoring of aPTT and INR


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shayla

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Feedback:
Carisoprodol is used to relieve discomfort from acute, painful musculoskeletal disorders. It is contraindicated in patients with intermittent porphyria. Baclofen is not known to be contraindicated with porphyria. Diazepam is not known to be contraindicated with porphyria. Dantrolene is not known to be contraindicated with porphyria.

Answer to Question 2

B
Feedback:
Adverse effects of glycerin relate to decreased fluid volume. The most serious of these conditions is hyperosmolar nonketotic coma. Consequently, the nurse should prioritize assessments that are focused on the signs and symptoms of fluid volume deficit.


joe

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Reply 2 on: Jul 23, 2018
Excellent

nanny

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Reply 3 on: Yesterday
Gracias!

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